<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1870-7203</journal-id>
<journal-title><![CDATA[Acta médica Grupo Ángeles]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. Grupo Ángeles]]></abbrev-journal-title>
<issn>1870-7203</issn>
<publisher>
<publisher-name><![CDATA[Grupo Ángeles, Servicios de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-72032019000400336</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Comparación de tasas de complicaciones quirúrgicas entre histerectomía total por vía laparotomía y laparoscópica en un hospital privado de tercer nivel]]></article-title>
<article-title xml:lang="en"><![CDATA[Comparison of surgical complications in abdominal vs. laparoscopic total hysterectomy in a tertiary-level private hospital]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguilar Villanueva]]></surname>
<given-names><![CDATA[Alba F]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zavala García]]></surname>
<given-names><![CDATA[Abraham]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arredondo Merino]]></surname>
<given-names><![CDATA[Rodrigo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad La Salle Facultad Mexicana de Medicina ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Ángeles Pedregal Servicio de Ginecología y Obstetricia ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>17</volume>
<numero>4</numero>
<fpage>336</fpage>
<lpage>339</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-72032019000400336&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-72032019000400336&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-72032019000400336&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  La histerectomía sigue siendo el segundo procedimiento más frecuente de ginecología, secundario sólo a cesárea, por lo que un abordaje correcto es de crucial importancia.  Objetivo:  Comparar las diferencias de los resultados entre abordaje laparoscópico y abdominal de histerectomía total en pacientes con patología uterina benigna.  Material y métodos:  Diseño retrospectivo, observacional, descriptivo y de tipo casos y controles, se compararon 1,208 pacientes en quienes se llevó a cabo el procedimiento de histerectomía total por vía abdominal (n = 880) y laparoscópica (n = 328). Los procedimientos se efectuaron en el periodo de enero de 2012 a diciembre de 2016 en un hospital privado de tercer nivel, Hospital Ángeles Pedregal en la Ciudad de México, México.  Resultados:  Encontramos que aunque los tiempos quirúrgicos y el sangrado fue similar en ambos grupos, el abordaje laparoscópico resultó en una estancia intrahospitalaria más corta estadísticamente significativa.  Conclusiones:  El abordaje laparoscópico para el procedimiento de histerectomía tiene claras ventajas sobre el abordaje abdominal, demostrado por la estancia hospital más corta y por la incidencia similar de complicaciones quirúrgicas, tiempo quirúrgico y sangrado transquirúrgico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Hysterectomy is still the second most frequent gynecological procedure, secondary only to C-section, so a correct approach is of crucial importance.  Objective:  Compare the differences in the results between laparoscopic and abdominal total hysterectomy in patients with benign uterine pathology.  Material and methods:  Retrospective, observational, descriptive and case-control type design, in which 1,208 patients were compared in whom the total hysterectomy procedure was carried out by abdominal (n = 880) and laparoscopic (n = 328). In the period from January 2012 to December 2016, in a private third level hospital, Hospital Angeles Pedregal in Mexico City, Mexico.  Results:  We found that although surgical times and bleeding were similar in both groups, the laparoscopic approach resulted in a shorter statistically significant in-hospital stay.  Conclusions:  Laparoscopic approach to the hysterectomy procedure has clear advantages over the abdominal approach, demonstrated by the shorter hospital stay and the similar incidence of surgical complications, surgical time and trans-surgical bleeding.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Técnica quirúrgica]]></kwd>
<kwd lng="es"><![CDATA[histerectomía laparoscópica]]></kwd>
<kwd lng="es"><![CDATA[histerectomía]]></kwd>
<kwd lng="en"><![CDATA[Surgical technique]]></kwd>
<kwd lng="en"><![CDATA[laparoscopic hysterectomy]]></kwd>
<kwd lng="en"><![CDATA[hysterectomy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<collab>Committee on Gynecologic Practice</collab>
<article-title xml:lang=""><![CDATA[Committee Opinion No 701: Choosing the Route of Hysterectomy for Benign Disease]]></article-title>
<source><![CDATA[Obstet Gynecol]]></source>
<year>2017</year>
<volume>129</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>e155-9</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kovac]]></surname>
<given-names><![CDATA[SR]]></given-names>
</name>
<name>
<surname><![CDATA[Barhan]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Lister]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Tucker]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Bishop]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Das]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Guidelines for the selection of the route of hysterectomy: application in a resident clinic population]]></article-title>
<source><![CDATA[Am J Obstet Gynecol]]></source>
<year>2002</year>
<volume>187</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1521-7</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Reich]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[DeCaprio]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[McGlynn]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Laparoscopic hysterectomy]]></article-title>
<source><![CDATA[J Gynecol Surg]]></source>
<year>1989</year>
<volume>5</volume>
<page-range>213-6</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Neis]]></surname>
<given-names><![CDATA[KJ]]></given-names>
</name>
<name>
<surname><![CDATA[Zubke]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Fehr]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Römer]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Tamussino]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Nothacker]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hysterectomy for benign uterine disease]]></article-title>
<source><![CDATA[Dtsch Arztebl Int]]></source>
<year>2016</year>
<volume>113</volume>
<numero>14</numero>
<issue>14</issue>
<page-range>242-9</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kho]]></surname>
<given-names><![CDATA[RM]]></given-names>
</name>
<name>
<surname><![CDATA[Abrão]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[In search for the best minimally invasive hysterectomy approach for the large uterus: a review]]></article-title>
<source><![CDATA[Clin Obstet Gynecol]]></source>
<year>2017</year>
<volume>60</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>286-95</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Uccella]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Casarin]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Marconi]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Cromi]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Morosi]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Gisone]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Laparoscopic versus open hysterectomy for benign disease in women with giant uteri (&#8805;1500 g): feasibility and outcomes]]></article-title>
<source><![CDATA[J Minim Invasive Gynecol]]></source>
<year>2016</year>
<volume>23</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>922-7</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pynnä]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Vuorela]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Lodenius]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Paavonen]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Roine]]></surname>
<given-names><![CDATA[RP]]></given-names>
</name>
<name>
<surname><![CDATA[Räsänen]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cost-effectiveness of hysterectomy for benign gynecological conditions: a systematic review]]></article-title>
<source><![CDATA[Acta Obstet Gynecol Scand]]></source>
<year>2014</year>
<volume>93</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>225-32</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Payá]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Diago]]></surname>
<given-names><![CDATA[VJ]]></given-names>
</name>
<name>
<surname><![CDATA[Abad]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Coloma]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Martín-Vallejo]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Histerectomía laparoscópica frente a histerectomía abdominal: estudio clínico comparativo]]></article-title>
<source><![CDATA[Clin Invest Gin Obst]]></source>
<year>2002</year>
<volume>29</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>284-9</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Molina]]></surname>
<given-names><![CDATA[SA]]></given-names>
</name>
<name>
<surname><![CDATA[Calvo]]></surname>
<given-names><![CDATA[AO]]></given-names>
</name>
<name>
<surname><![CDATA[Matadamas]]></surname>
<given-names><![CDATA[ZC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Histerectomía total laparoscópica versus histerectomía abdominal en miomatosis uterina con peso mayor de 400 g]]></article-title>
<source><![CDATA[Ginecol Obstet Mex]]></source>
<year>2011</year>
<volume>79</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>613-20</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<collab>AAGL Advancing Minimally Invasive Gynecology Worldwide</collab>
<article-title xml:lang=""><![CDATA[AAGL Practice Report: Practice guidelines for intraoperative cystoscopy in laparoscopic hysterectomy]]></article-title>
<source><![CDATA[J Minim Invasive Gynecol]]></source>
<year>2012</year>
<volume>19</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>407-11</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
